VIRGIL DOMINISE

LAKELAND, FL
NPI1942327101
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
Enumeration Date2007-03-23
Last Update Date2012-01-20
Business Address
-- VIRGIL DOMINISE
1010 CARPENTERS WAY
LAKELAND, FL 33809-3926
Phone number: 863-815-0488
Mailing Address
-- VIRGIL DOMINISE
7131 CEDARCREST BLVD
LAKELAND, FL 33810-4844
Phone number: